CPT code 36902: Dialysis access angioplasty, peripheral segment2026 Medicare rate & RVUs in Guam
Reports catheter-based balloon angioplasty of a stenosis in the peripheral segment of a hemodialysis access circuit, with circuit imaging included.
Medicare pays $1,318.90 for 36902 in the office in Guam (Hawaii, Guam, HI). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 36902 covers
An interventional radiologist or vascular surgeon uses needle or catheter access to evaluate a hemodialysis fistula or graft and perform balloon angioplasty for a stenosis in its peripheral dialysis segment. These procedures commonly address access dysfunction, such as impaired flow or elevated circuit pressures, and are performed in an angiography suite or hospital outpatient setting. The code includes the diagnostic imaging and catheter placement needed to evaluate the circuit during the intervention.
Report this code when balloon angioplasty is performed in the peripheral segment; the documented lesion location and treatment should support that selection. Diagnostic angiography of the same circuit is included rather than separately reported as a diagnostic-only service. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When separate procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Medicare does not pay assistant-at-surgery services, co-surgeons, or team surgery for this code.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
36902 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | $1,318.90 | $203.90 |
How the 36902 rate is calculated
Each of 36902’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 36902
RVUs × geographic indexes × conversion factor
Work4.71
4.71 RVUs× 1.000 GPCI
Practice expense30.22
30.22 RVUs× 1.000 GPCI
Malpractice0.72
0.72 RVUs× 1.000 GPCI
Adjusted RVUs
35.6500
Conversion factor
$33.4009
Medicare rate
$1,190.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 36902
The CMS indicators that decide how 36902 is paid alongside other services.
CMS payment indicators · 36902
Dialysis access angioplasty, peripheral segment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
36902 without 51 · national office
$1,190.74
Dialysis access angioplasty, peripheral segment
36902-51 · Second procedure: 50%
$595.37
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
36902 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 36901Circuit angiographyDiagnostic only
- 36901 reports diagnostic evaluation of the dialysis circuit. Choose 36902 when balloon angioplasty is performed in the peripheral segment.
- 36903Dialysis access stentingPeripheral segment
- 36903 represents peripheral-segment stent placement; 36902 represents balloon angioplasty without that stent placement.
- 36905Dialysis thrombectomyPeripheral balloon angioplasty
- 36905 includes thrombectomy with peripheral-segment angioplasty. 36902 is the choice when angioplasty is performed without thrombectomy.
- 36907Dialysis angioplastyCentral segment
- 36907 is an add-on for angioplasty in the central dialysis segment. Code 36902 describes angioplasty in the peripheral segment.
36902 billing questions
How does this differ from 36901?
Use 36901 for diagnostic evaluation of the dialysis circuit without the peripheral balloon angioplasty reported by 36902. The imaging needed for the angioplasty is included in 36902.
When is 36903 a better choice?
Use 36903 when a stent is placed in the peripheral dialysis segment. Code 36902 reports balloon angioplasty without that peripheral stent placement.
Can diagnostic angiography of the same circuit be billed separately?
The diagnostic imaging performed to evaluate the circuit during this intervention is included. Do not separately report 36901 for that same circuit service.
Can central-segment angioplasty be reported in the same session?
Yes. When angioplasty is also performed in the central dialysis segment, 36907 is the related add-on code; document the treated segment and intervention.
What documentation supports 36902?
Record the access circuit findings, the peripheral-segment stenosis treated, and the balloon angioplasty performed. The documentation should distinguish treatment in the peripheral segment from any central-segment intervention.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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